COVID-19 Ignited a Successful Growth Spurt in Pediatric HIV Differentiated Service Delivery Programming.

IF 3.6 Q2 INFECTIOUS DISEASES
Jaime Petrus, Jacqueline Balungi, Sebastian Wanless
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Abstract

Purpose of review: Pediatric HIV differentiated service delivery (DSD) programming has historically lagged behind adult care despite WHO recommendations to include family-friendly alternatives for children and caregivers. This review explores the status of Pediatric DSD programming before the COVID-19 pandemic and then reviews published differentiated approaches that developed during the pandemic.

Recent findings: Differentiated service delivery programming for adults living with HIV has increased worldwide, and patient outcomes from these programs have been positive. Pediatric DSD programming has lagged, with many children ineligible for multi-month refills. Despite WHO recommendations to space ART visits for children, limited access to viral load monitoring and a lack of viral suppression among children have left them out of this more convenient care option. Community ART groups historically were not structured to include children. Furthermore, after-hours clinics and teen clubs with ART dispensing have not reached the majority of CLHIV.

Summary: This review highlights programs that developed out of necessity during the lockdowns of the pandemic. Ingenuity and creativity forced programmers to provide care to their patients with less patient-clinician interaction. Children became eligible for multi-month dispensing as programs loosened eligibility criteria. Technology helped provide virtual psychological support, and unique ART delivery methods were developed. This rapid expansion or growth spurt, of pediatric DSD programming sped up the inclusion of children into care options that were less burdensome to the family. As we move away from the pandemic and adjust to a new standard, we will remain diligent in ensuring that CLHIV outcomes remain stable or perhaps, improve.

Abstract Image

2019冠状病毒病引发了儿童艾滋病毒差异化服务提供规划的成功快速增长。
审查目的:尽管世卫组织建议为儿童和照料者提供家庭友好型替代方案,但儿童艾滋病毒差异化服务提供(DSD)规划历来落后于成人护理。本综述探讨了COVID-19大流行前儿科DSD规划的现状,然后回顾了大流行期间制定的已发表的差异化方法。最近的研究发现:全球范围内,针对成年艾滋病毒感染者的差异化服务项目有所增加,这些项目对患者的治疗效果是积极的。儿科DSD规划滞后,许多儿童没有资格在数月后重新补充。尽管世卫组织建议对儿童进行空间抗逆转录病毒治疗,但儿童获得病毒载量监测的机会有限,而且缺乏病毒抑制,使他们无法获得这种更方便的护理选择。从历史上看,社区ART小组的结构并不包括儿童。此外,提供抗逆转录病毒治疗的非工作时间诊所和青少年俱乐部并没有覆盖到大多数艾滋病毒感染者。摘要:本综述重点介绍了在大流行封锁期间出于必要而制定的规划。独创性和创造力迫使程序员在减少医患互动的情况下为患者提供护理。由于项目放宽了资格标准,儿童有资格获得为期数月的药物分配。技术帮助提供虚拟心理支持,并开发了独特的抗逆转录病毒治疗方法。儿科儿童发展规划的快速扩张或快速增长加速了将儿童纳入家庭负担较轻的护理选择。在我们摆脱大流行并适应新标准的过程中,我们将继续努力确保艾滋病毒治疗结果保持稳定,甚至有所改善。
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来源期刊
Current Tropical Medicine Reports
Current Tropical Medicine Reports Medicine-Infectious Diseases
CiteScore
9.30
自引率
1.90%
发文量
23
期刊介绍: Current Tropical Medicine Reports provides expert views on recent advances in the field of tropical medicine in a clear and readable form. This journal offers reviews by domestic and international contributors that highlight the most important, recent papers and findings related to this specific field. We accomplish this by appointing renowned leaders in major tropical medicine subject areas to select topics addressing virology, bacteriology, parasitology, entomology, immunology, cell and molecular biology, epidemiology, ecology, behavioral science and clinical medicine for review by experts who assess the latest developments and highlight significant papers published over the last few years on their topics. These review articles also stress recently published papers of importance in the references, which are accompanied by annotations explaining their importance. In addition to these Section Editors, our international Editorial Board ensures our journal upholds its standards.
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